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2017 ; 10
(ä): 275-283
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Duodenal and jejunal Dieulafoy s lesions: optimal management
#MMPMID29158686
Y?lmaz TU
; Kozan R
Clin Exp Gastroenterol
2017[]; 10
(ä): 275-283
PMID29158686
show ga
Dieulafoy's lesions (DLs) are rare and cause gastrointestinal bleeding resulting
from erosion of dilated submucosal vessels. The most common location for DL is
the stomach, followed by duodenum. There is little information about duodenal and
jejunal DLs. Challenges for diagnosis and treatment of Dieulafoy's lesions
include the rare nature of the disease, asymptomatic patients, bleeding symptoms
often requiring rapid diagnosis and treatment in symptomatic patients,
variability in the diagnosis and treatment methods resulting from different
lesion locations, and the risk of re-bleeding. For these reasons, there is no
universal consensus about the diagnosis and treatment approach. There are few
published case reports and case series recently published. Most duodenal DLs are
not evaluated seperately in the studies, which makes it difficult to determine
the optimal model. In this study, we summarize the general aspects and recent
approaches used to treat duodenal DL.